Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,606.93 / $10,232.93	Facility		$1,584.89	$6,606.93	$10,232.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $10,232.93	Facility		$1,122.02	$5,370.32	$10,232.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Facility		$2,041.74	$2,041.74	$3,090.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,778.28	Facility		$1,479.11	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $39,810.72	Facility		$3,311.31	$8,128.31	$39,810.72